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- Title
Liver graft-versus-host disease after donor lymphocyte infusion for relapses of hematologic malignancies post allogeneic hematopoietic stem cell transplantation.
- Authors
Ma, S.Y.; Au, W.Y.; Lie, A.K.W.; Ng, I. Ol.; Leung, A.Y.H.; Tse, E.W.; Liang, R.H.; Lau, G.K.; Kwong, Y.L.
- Abstract
Summary:Graft-versus-host disease (GVHD) is the commonest complication after donor lymphocyte infusion (DLI). In 19 patients undergoing DLI for relapses of hematologic malignancies post hematopoietic stem cell transplantation (HSCT), 11 developed GVHD, of whom nine had isolated liver involvement, and two had liver and skin involvement. The clinical diagnosis of liver GVHD was hepatitic in six patients (55%) and classical in five patients (45%). Patients with GVHD post-DLI showed a different clinical pattern when compared to a cohort of 106 cases of GVHD post-HSCT, in having significantly more isolated liver involvement (9/11 vs 17/106, P<0.001), and less skin (2/11 vs 80/106, P<0.001) and gut (0/11 vs 28/106, P<0.001) involvement. However, liver GVHD post-DLI and post-HSCT had comparable patient characteristics, underlying diseases, clinical subtypes (classical and hepatitic) and response to treatment.Bone Marrow Transplantation (2004) 34, 57-61. doi:10.1038/sj.bmt.1704522 Published online 24 May 2004
- Subjects
GRAFT versus host disease; STEM cell transplantation; HEMATOPOIETIC stem cells; STEM cells; TRANSPLANTATION of organs, tissues, etc.; CLINICAL medicine
- Publication
Bone Marrow Transplantation, 2004, Vol 34, Issue 1, p57
- ISSN
0268-3369
- Publication type
Article
- DOI
10.1038/sj.bmt.1704522